Flashcards in 12 - Obs - Multiple Pregnancy - Antepartum MGMT Deck (5):
Early ???: Screening for ?abnormalities offered as normal. Chorionicity most accurately ascertained in ? trim – in ?? twins, dividing membrane is thicker as meets ? (? sign), in MC twins it is ? (T sign) and ? to the shared placenta. Nuchal translucency can also predict risk of ?? twin compx – greater when >?% discord.
General: Preg = ? risk, care ?
led. Iron and ? ? given. Multiple pregs incr maternal ? and ?. ? home help discussed.
ID of risk of preterm delivery: ????? of ? length may show those at most risk. Policy of inserting cervical ? in short cervix not advised but apprt if v ?, v ?.
Selective Reduction: To a twin preg at ?wks discussed w women w ? or higher. Slightly incr risk of ?, reduces chance of ? birth and ? ?. Reduction to twin singleton not advised. May also be done if one twin has ? abnormality. Safest before ? weeks.
ID of IUGR: More common and more ? to detect in multiple pregs vs singletons, serial ??? for ? usually routine done at ?, ? and 36wks.
USS surveillance starts at ?wks. TTTS most commonly diagnosed ?-?wks, by careful ??? inc ? regurg, or as ? around recipient causes abdo ?. Unless v ?, laser ? of placental ? using USS and ?
best -> lower neonatal ? rate than ?. MC twins also at higher risk of ???? and in utero ?, usually scanned every ?wks.